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The current status and legal review of advanced airway management implemented by 119 EMTs
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소방 119구급대원에 의해 시행된 전문기도관리 현황 및 법적 고찰

논문 기본 정보

Type
Academic journal
Author
Park si eun (동강대학교 응급구조과)
Journal
한국응급구조학회 한국응급구조학회지 한국응급구조학회지 제25권 제2호 KCI Accredited Journals
Published
2021.8
Pages
169 - 186 (18page)
DOI
10.14408/KJEMS.2021.25.2.169

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The current status and legal review of advanced airway management implemented by 119 EMTs
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Abstract· Keywords

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Purpose: This study aimed to analyze the data from public information disclosure about pre-hospital advanced airway management and identify the problem by considering domestic laws and guidelines. Methods: Data were collected between 2017 and 2018 and analyzed using SPSS 25.0. Then, the problems of the analysis results based on the relevant laws and practical guidelines were reviewed. Results: The review of domestic laws and practice guidelines revealed that ambulance nurses can implement supraglottic airway device only under the following three conditions: ① smart advanced life support pilot project area, ② trained to insert I-Gel, and ③ member of a special ambulance. In total, 21,574 cases of advanced airway management (endotracheal intubation: 2,428, I-Gel: 18,502, LMA : 499, KING AIRWAY: 144) were reported. In many cases, advanced airway management was performed by ambulance nurses who did not meet the above conditions, which was in violation of laws and guidelines. In addition, the prognosis of intubated patients was not followed up. Conclusion: The Korea National Fire Agency must stop all unlicensed medical practice by untrained, uneducated, and uncertified nurses and demand quality control programs for intubated patients.
#Nurses #Unlicensed medical practice #Airway management #Intubation

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References (28)

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John S Bradley / 1998 / Prehospital Oral Endotracheal Intubation by Rural Basic Emergency Medical Technicians / Annals of Emergency Medicine 32(1):26~32 Crossref 윤형완 / 2019 / 기관내삽관에서 속심일체형 삽관튜브 용이성에 관한 연구 / 한국응급구조학회지 23(3):111~121 dbpia Jeffrey L. Apfelbaum / 2013 / Practice Guidelines for Management of the Difficult Airway / Anesthesiology 118(2):251~270 Crossref Lloyd E Kwanten / 2018 / Supraglottic airway devices: current and future uses / British Journal of Hospital Medicine 79(1):31~35 Crossref Jia Wang / 2018 / Predictive risk factors of failed laryngeal mask airway insertion at first attempt / Journal of International Medical Research 46(5):1973~1981 Crossref

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